Table 1.
Long-term results after balloon aortic valvuloplasty.
Authors/ref. | Number of subjects | Age at valvuloplasty (mean ± SD) | Duration of follow-up (mean ± SD) | Country | Long-term results |
---|---|---|---|---|---|
Hawkins et al.17 | 60 | 7.3 ± 6 years | 1–110 months | USA | 38% required surgery at 44 ± 37 months after BAV (AI in 13 and AS in 10). Actuarial freedom from surgical intervention was 70% ± 6% at 5 years and 51% ± 12% at 9 years. |
Kuhn et al.18 | 22 | 61 ± 23 months. | USA | 45% required re-intervention after BAV (AI in 3 and AS in 7). Freedom from re-intervention was 75% at 100 months. |
|
Galal et al.10 | 26 | 6 weeks to 20 years | 3–9 years (median 6 years) | Saudi Arabia and USA | 23% had restenosis and underwent surgical (4 patients) or repeat BAV (2 patients). Actuarial intervention-free rates at 5 and 9 years were 76% and 76% respectively. |
Demkow et al.19 | 55 | 3.5–23 years (11.7 ± 4.5) | 62 ± 30 months | Poland | 33.3% re-intervention 51 ± 24 months after BAV (AI in 6 and AS in 5). Actuarial freedom from re-intervention at 6 and 8 years was 61% and 56% respectively. |
Jindal et al.20 | 74 | 1–20 years | 5.5 ± 2.9 years | India | 14% had re-intervention. Actuarial intervention-free rates at 5, 7 and 12 years were 92.9%, 84.4% and 60%, respectively. |
Reich et al.21 | 269 | 0–23 years (median 8 months) | Median 5.3 years | Czech Republic | 20.1% needed surgery. Valvuloplasty failure occurred in 41.6%. Probability of surgery-free survival was 50% at 14.4 years after BAV |
Fratz et al.22 | 120 | 5.8 ± 5.9 yearsa | Up to 17.5 years | Germany | 12% had repeat BAV for recurrent AS and 23% had surgery for AI. Freedom from aortic valve surgery at 10 years was 59%. |
Brown et al.23 | 509 | Median = 2.4 years (1 day to 40.5 years) | Median 9.3 years | USA | 23% had repeat BAV, 13% had aortic valve repair and 23% had aortic valve replacement. Freedom from aortic valve replacement was 90% at 5 years, 79% at 10 years, and 53% at 20 years. |
Maskatia et al.24 | 272 | 1 day to 30.5 years | 5.8 ± 6.7 years | USA | 15% had repeat valvuloplasty (balloon or surgical); 15% had aortic valve replacement; 9% had heart transplantation or death. |
Rossi et al.25 | 31 | 2–92 days | Mean 81 months | Brazil | 24% patients required surgery during follow-up. Survival free from aortic valve surgery was 66% at 63 months and 50% at 80 months. |
Soulatges et al.26 | 93 | Mean 2.4 years (1 day to 18 years) | 11.4 ± 7 years | Belgium | Freedom from surgery at 5, 10, and 20 years was 82%, 72%, and 66%, respectively. |
AI, aortic insufficiency; AS, aortic stenosis; BAV, balloon aortic valvuloplasty; SD, standard deviation.
Babies <1 month were excluded from the table.